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A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should
the nurse expect? - Answer--Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy.
Which of the following statements should the nurse identify as an indication that the client understands
the teaching? - Answer--"I will use my hands rather than a washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions should the nurse
include?
Select all that apply. - Answer--Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
,The nurse provided preoperative teaching to the client. Which of the following statements by the client
indicates an understanding of the teaching?
Select all that apply. - Answer--"I will need to do the breathing exercises every 1 to 2 hours after the
surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration? - Answer--Urine specific gravity 1.045
A urine specific gravity greater than 1.030 indicates a decrease in urine volume and an increase in
osmolarity, which is a manifestation of hypertonic dehydration.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the
following instructions should the nurse include? - Answer--Remind the client to scan their complete
range of vision during ambulation.
A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from
peptic ulcer disease. Which of the following
images depicts a condition caused by pernicious anemia? - Answer--glossitis, which can indicate
pernicious anemia. Glossitis, a smooth red tongue, is also a manifestation of deficiencies in vitamin B6,
zinc, niacin, or folic acid.
, A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast
agent. The nurse should identify that which
of the following findings requires further assessment? - Answer--History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the
procedure. Other conditions that can result in a reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion
procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the teaching? - Answer--"You should cut
the opening of the skin barrier one-eighth inch wider than the stoma."
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The client's initial
vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the
following vital sign changes should alert the nurse
that the client might be hemorrhaging? - Answer--Heart rate 110/min.
One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which
occurs to compensate for blood loss.
A nurse is caring for a client who is 4 hr postoperative following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately. - Answer--Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min